Active NPI
Amber Michelle Brown, APRN, FNP-C
- Family Nurse Practitioner
- Blytheville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 226199
- Practice address
- 1010 E Hollywood Ave
Blytheville, AR 72315-2552 - Phone
- (870) 409-7119
- Fax
- (870) 409-7120
- NPI assigned
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 226199 | AR | Primary |
Addresses
Primary practice location
1010 E Hollywood Ave
Blytheville, AR 72315-2552
Mailing address
1010 E Hollywood Ave
Blytheville, AR 72315-2552
Phone (870) 409-7119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231211000802 | TN | Practitioner - Nurse Practitioner | 4183073547 | Reassigns benefits to 3 organizations |
| I20240116001651 | AR | Practitioner - Nurse Practitioner | 4183073547 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Fast Pace Mississippi PLLCHometown Urgent Care of Dyersburg, PLLC
Practice addresses (Care Compare)
1010 E Hollywood Ave
Blytheville, AR 72315-2552
Phone (870) 409-7119
1020 Hwy 62 E
Mountain Home, AR 72653-3216
Phone (870) 337-2172
1407 E Highland Dr
Jonesboro, AR 72401-6113
Phone (870) 604-3597
2550 Parr Ave
Dyersburg, TN 38024-2033
Phone (731) 325-5678
Hospital & facility affiliations
- Great River Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226199 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients | |
| Hometown Urgent Care of Dyersburg PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients |
Locations
1010 E Hollywood Ave
Blytheville, AR 72315
Phone (870) 409-7119
1020 Highway 62 E
Mountain Home, AR 72653
Phone (870) 337-2171
200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
665 N Main St
Crossville, TN 38555
Phone (931) 337-0510
2550 Parr Ave
Dyersburg, TN 38024
Phone (731) 325-5678
2019 Jacksboro Pike
La Follette, TN 37766
Phone (423) 437-3093
1181 Dolly Parton Pkwy
Sevierville, TN 37862
Phone (865) 446-1433
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- Rural Health Clinic/Center
- Mountain Home, AR
- NPI 1972262400
-
- Rural Health Clinic/Center
- Ripley, MS
- NPI 1447769559
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Blytheville, AR
- NPI 1316180748
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1508645474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E HOLLYWOOD AVE",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152552",
"telephone_number": "870-409-7119",
"fax_number": "870-409-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E HOLLYWOOD AVE",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152552",
"telephone_number": "870-409-7119",
"fax_number": "870-409-7120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "AMBER",
"middle_name": "MICHELLE",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-28",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "226199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.